Virginia Commonwealth University School of Medicine, Richmond, Virginia.
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Virginia Commonwealth University Health System, Richmond, Virginia.
J Pediatr Adolesc Gynecol. 2021 Jun;34(3):421-423. doi: 10.1016/j.jpag.2021.01.009. Epub 2021 Jan 20.
Lipomatous tumors of the vulva are exceedingly rare, particularly in adolescents. We describe the work-up and management of an adolescent girl who presented with a large, well-vascularized vulvar mass.
A 14-year-old girl presented with a large vulvar mass of unclear etiology. Magnetic resonance imaging of this mass revealed an ill-defined, well-vascularized mass with fat signal characteristics suggestive of a lipomatous tumor that was concerning for malignancy. We performed complete resection of the mass, and histologic evaluation revealed a vulvar hibernoma. There have been no signs of recurrence 1 year later.
Although rare, a hibernoma of the vulvar region may present in adolescence and may be concerning for malignancy on imaging. Complete resection of these tumors is recommended for definitive diagnosis and treatment.
外阴脂肪性肿瘤极为罕见，尤其在青少年中。我们描述了一位患有大而富含血管的外阴肿块的少女的检查和治疗经过。
一名 14 岁女孩因外阴巨大不明原因肿块就诊。该肿块的磁共振成像显示为边界不清、富含血管的肿块，具有脂肪信号特征，提示为脂肪性肿瘤，恶性肿瘤可能性较大。我们对该肿块进行了完整切除，组织学评估显示为外阴冬眠瘤。1 年后未见复发迹象。
尽管罕见，但外阴区域的冬眠瘤可能在青少年中出现，并且在影像学上可能提示恶性肿瘤。这些肿瘤建议完整切除，以明确诊断和治疗。
